Healthcare Provider Details

I. General information

NPI: 1457213183
Provider Name (Legal Business Name): MARINA YVETTE ALFARO AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CENTERPOINTE DR STE 130
LA PALMA CA
90623-2562
US

IV. Provider business mailing address

PO BOX 101
PICO RIVERA CA
90660-0101
US

V. Phone/Fax

Practice location:
  • Phone: 657-325-8313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157633
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: